Print Violation: 00424009-AP-375475

Provider Information

Washington Gardens Memory Care

9000 SW 91ST AVENUE
Tigard, OR 97223

Date: 9/1/2025
Report number: 00424009-AP-375475
Type: Abuse: Neglect
Level: 2 - Minor harm or potential for moderate harm
Allegation: Failed to follow care plan
Result: Substantiated
Rule(s) Violated: External site: 411-054-0025(1)(a) and (b)
External site: 411-054-0027(1)(g) and (s)
External site: 411-054-0028(2)
External site: 411-054-0036(2)(g)
Findings: The Alleged Victim (AV) is a known fall risk and requires assistance from staff for activities of daily living. AV is known to get out of bed at night, and is care planned to have his/her lights left on in his/her room. On or about September 1, 2025, staff heard AV yelling and went to his/her room, where the lights were off, and found AV on his/her back, on the floor. AV had blood on the back of his/her head. Staff called emergency services and AV was taken to the hospital for evaluation, where it was determined that AV suffered a scalp hematoma and an abrasion to his/her left arm.
Sanction: RCFCP25-01471 $250.00 fine assessed